The CiviConnectors support program is dedicated to pushing forward progress in the CivicTech ecosystem in Egypt by building a collaborative support network and providing direct financial and training support for tech-enabled startups. The purpose is to develop citizen-centric solutions that can enhance the engagement of Egyptian citizens with digital public services and create a seamless experience.

In its second cohort, the CiviConnectors program is targeting innovators and tech startups in the area of digital healthcare solutions in Egypt.

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Dear entrepreneur,

You are about to start your application to the CiviConnectors program. It should take around 20 min to fill out the application. Your progress will be saved automatically.

Please make sure to complete all the required questions, and provide documentation to verify the information you have submitted when needed.

If you have any questions, please contact us via e-mail at shc@enpact.org.
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* 1. Full name as it appears on your national ID

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* 2. Please enter your Email

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* 3. Please enter your Phone number

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* 4. LinkedIn Profile

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* 5. What is your Gender?

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* 6. Please enter your Date of Birth

Date

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* 7. What is your nationality?

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* 8. What's your city / state of residence?

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* 9. Do you have a valid residency in Egypt?

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* 10. Do you hold a valid working permit for Egypt?

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* 11. What is your education level?

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* 12. What is your graduation year/ expected graduation?

Date

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* 13. What is the name of the university you graduated from/are currently enrolled in? * Please mention your major

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* 14. If you have a job, please add the company name, position, and job description.

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* 15. What is your English proficiency level?

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* 16. What is your idea? Describe it as precisely as possible.

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* 17. How does your idea address the challenge directly or indirectly?

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* 18. Why is your idea innovative (in a technical, social, and/or ecological aspect)? What differentiates your idea from already existing products/solutions?

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* 19. Describe how your idea can potentially grow and scale up.

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* 20. Which of the SDGs (sustainable development goals) does the activity of your business idea support?

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* 21. If your business has been formed, do you (as the project lead)  have power of attorney for the business? (If yes, please submit a proof in the attachments)

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* 22. Please write a short professional bio about yourself in max. 500 words. Please highlight which skills and knowledge you have to successfully develop your idea into a product/MVP.

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* 23. Please list your additional team members; Each one by name, age, role, and educational background (university and graduation year).

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* 24. If selected for the program, are you and all of your team members committed to developing and commercializing your solution with a minimum of 10 hours per week during the duration of the 6 month program?

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* 25. What motivates you to participate in the program?

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* 26. Please share a Google Drive/YouTube link for a video of you introducing yourself and your idea (max. 3 min). Please make sure to give us access to the link. 

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* 27. How did you hear about this opportunity?

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* 28. I agree that my email address may be used to send me a newsletter with information on similar schemes, programs, and services offered by enpact. I also agree that I may be contacted individually by enpact if such an offering may be suitable to my needs

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* 29. I assure you that I have given all information to the best of my knowledge and truthfully

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* 30. I have read, and I as well as my team are available on the program dates mentioned on the website

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* 31. Please share a link where you have uploaded a photo of your national ID from both sides and any relevant or complimentary documents. (Please make sure you give us access to the link)

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* 32. If you have a registered company/startup, please upload a copy of your commercial record and/or share a link to your digital presence.

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* 33. Please share a link where you have uploaded a proof of concept of your prototype/idea.

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